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Maine rates for HCPCS L4080

Replace Metal Bands Kafo, Proximal Thigh

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.39 / $92.22 / $92.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.13 / $175.08 / $324.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.41 / $72.72 / $72.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.33 / $84.33 / $111.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.56 / $61.56 / $84.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.01 / $123.01 / $123.01
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.55 / $92.22 / $92.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.53 / $75.80 / $174.32